New Client Form


Your appointment time is reserved just for you.

Please note that most of our coaching and counselling packages are at a  fee for service and start at N15,000 per 1-hr session.  You may call into our office (0803 816 4360) for billing information and we will send you a link for your coaching and counseling session

Your appointment is not fully booked in our system until payment is made.

A late cancellation or missed visit leaves a hole in the dietitians’ day that could have been filled by another client. As such, we require 24 hours notice for any cancellations or changes to your appointment. Clients, who provide less than 24 hours notice, or miss their appointment, may be charged a cancellation fee of N5,000

All appointments must be cancelled via phone at 0803 816 4360.

The following questionnaire is intended to help us gain a full understanding of your nutrition needs and get you set up with one of our dietitian nutrition coaches.

Choose more than one if you have more availability.
By checking this box and submitting this form, I acknowledge I have read, had the opportunity to ask questions, and agree with the consent form above. I am aware of the Appointment Reservation & Cancellation Policy.


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